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Table of Content

    15 August 2025, Volume 41 Issue 16
    Treatise
    Study on influence of technical stress and psychological capital on job burnout of operating room nurses
    MU Qun, DUAN Jingjing, CHENG Yinding, LI Shan, XIONG Jie, HU Juan
    2025, 41(16):  2161-2165. 
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    Objective To investigate the current status of technical stress,psychological capital and job burnout of operating room nurses,study the effects of technical stress and psychological capital on job burnout of operating room nurses,and provide reference for reducing the level of occupational burnout. Methods A cross-sectional survey method was used to investigate and analyze 176 operating room nurses from 13 grade-A tertiary hospitals in Hubei Province from May to July 2024 using the general situation scale,technical stress scale,psychological capital scale and job burnout scale. The differences in technical stress,psychological capital and job burnout scores were compared among different demographic characteristics. The correlation between technical stress,psychological capital and job burnout of operating room nurses was analyzed. The mediation test procedure was used to analyze the mediating effect of psychological capital between technical stress and job burnout of operating room nurses. Results The technical stress score of operating room nurses was (74.29±14.28)points,the psychological capital score was (92.35±15.47)points,and the job burnout score was (60.26±12.57)points. The differences in the scores of technical stress,psychological capital and job burnout were statistically significant among operating room nurses in different age,years of work,professional title,marital status,average monthly income,average number of monthly night shifts and average weekly working hours(all P<0.05). The higher the level of technical stress of operating room nurses,the higher the level of job burnout(r=0.642,P<0.01). The higher the level of psychological capital of operating room nurses,the lower the level of job burnout(r=-0.586,P<0.01). The higher the level of psychological capital of operating room nurses,the lower the technical stress(r=-0.592,P<0.01). The psychological capital of operating room nurses had a partial mediating effect between technical stress and job burnout(mediating effect value was 0.239),accounting for 40.78% of the total effect. Conclusion The technical stress and job burnout of operating room nurses are at a high level. The psychological capital has a partial mediating effect in the effect of technical stress on job burnout of operating room nurses. Further improving psychological capital on the basis of reducing technical stress is helpful to alleviate the job burnout of operating room nurses.
    Mediating role of career success in relationship between occupational identity and job burnout among anesthesiologists
    WANG Xiaojuan, LIANG Guijin, MENG Haibing
    2025, 41(16):  2166-2170. 
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    Objective To investigate the current status of career success,occupational identity,and job burnout among anesthesiologists in five grade-A tertiary hospitals in Jiangxi Province,explore the mediating effect of career success between occupational identity and job burnout. Methods From January 1st,2024 to June 30th,2024,a questionnaire survey was performed among 129 anesthesiologists in five grade-A tertiary hospitals in Jiangxi Province by the career success scale,occupational identity scale and job burnout scale,and the data were analyzed. Results The job burnout score of 129 anesthesiologists was (63.50±15.00)points,the career success score was (32.59±5.59)points,and the occupational identity score was (86.68±13.31)points. The indirect effect of occupational identity on job burnout was -0.202,accounting for 19.76% of the total effect. Conclusion The career success of anesthesiologists plays a partial mediating role between occupational identity and job burnout,the medical managers should pay attention to this mediating effect,actively guide anesthesiologists to establish a correct view of career development,promote their career success,thereby indirectly affecting occupational identity and reducing the incidence of job burnout.
    Study on current status and influencing factors of occupational burnout among operating room nurses of six hospitals in Xiamen City
    LIN Shan, CHENG Sen, LIU Mengya
    2025, 41(16):  2171-2175. 
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    Objective To understand the current status of occupational burnout among operating room nurses and analyze its influencing factors. Methods A convenience sampling method was used to select 209 operating room nurses from six hospitals in Xiamen City between June and November 2023 as study subjects. The investigation was performed by the general information questionnaire,the nurse burnout scale,the organizational commitment scale,and the self-resilience scale. SPSS 28.0 software was used to analyze the current status,influencing factors,and correlations between variables related to occupational burnout. Results A total of 209 valid questionnaires were recovered,with a valid response rate of 89.32%. The score for occupational burnout among operating room nurses was (81.41±19.56)points,the score for organizational commitment was (71.31±11.16)points,and the score for self-resilience was(33.84±8.23)points. There were negative correlations between organizational commitment,self-resilience and each dimension of occupational burnout,as well as the total score(all P<0.01). The multiple linear regression analysis indicated that age,years of experience,number of night shifts,marital status,organizational commitment and self-resilience were influencing factors of occupational burnout among operating room nurses(all P<0.01),explaining 67.2% of the total variance. Conclusion The operating room nursing managers can develop targeted psychological interventions based on relevant influencing factors to reduce occupational burnout among operating room nurses.
    Trend analysis of newly emerging occupational diseases in Quanzhou City from 2008 to 2023 based on Joinpoint regression model
    TANG Xueping, XU Juan'e, TU Menghan, LIU Yuehong
    2025, 41(16):  2176-2180. 
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    Objective To analyze the characteristics and changing trend of newly emerging occupational diseases in Quanzhou City from 2008 to 2023,provide scientific basis for the prevention and control of occupational diseases. Methods The data related to newly emerging occupational diseases in Quanzhou City from 2008 to 2023 were collected from "Occupational disease and health hazard monitoring information system of Chinese center for disease control and prevention". SPSS 22.0 was used for analysis,and Joinpoint regression model was used to analyze the change trend of various occupational diseases,to calculate annual percent change(APC) and average annual percent change(AAPC). Results From 2008 to 2023,the newly emerging occupational diseases in Quanzhou City were mainly pneumoconiosis(accounting for 85.71%). The onset age of newly emerging occupational diseases in Quanzhou City was mainly 40-<60 years old,and the working age of exposure to hazards was mainly 5-<20 years. From 2008 to 2023,the reported incidence rate of newly emerging occupational diseases in Quanzhou City increased from 0.27/100 000 to 0.90/100 000,showing an upward trend(AAPC=6.88%,95%CI:3.33%-14.24%,P<0.01),the overall trend was determined by the dominant pneumoconiosis. The overall standardized reported incidence rate of pneumoconiosis from 2008 to 2023 showed an upward trend(AAPC=7.34%,95%CI:3.80%-15.19%,P<0.01). The occupational diseases caused by physical factors showed an overall upward trend(APC=AAPC=143.92%,95% CI:81.53%-269.21%,P<0.01). Conclusion The pneumoconiosis is still the main occupational disease in Quanzhou City,and the increasing trend of occupational heat stroke in recent years should not be ignored. It is necessary to formulate corresponding management measures based on the characteristics and distribution of occupational hazards,and strengthen the prevention and control of occupational diseases in key industries and populations.
    Simultaneous determination of trivalent chromium and hexavalent chromium in workplace air by high performance liquid chromatography-inductively coupled plasma mass spectrometry method
    CAO Linbo, JIANG Lihua, ZHANG Jingyi, WENG Shaomei, ZHANG Shihao, CUI Shiyong
    2025, 41(16):  2181-2186. 
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    Objective To establish a method for the simultaneous determination of trivalent chromium[Cr(Ⅲ)] and hexavalent chromium[Cr(Ⅵ)] in workplace air using high-performance liquid chromatography-inductively coupled plasma mass spectrometry (HPLC-ICP-MS). Methods Samples were collected using an alkaline polyvinylidene difluoride(PVDF) filter,eluted with an ethylene diamine tetraacetic acid(EDTA)-NH4NO3 solution,separated by liquid chromatography using NH4NO3 as the mobile phase,and detected by inductively coupled plasma mass spectrometry. Quantification was performed using an external standard calibration curve. Results The correlation coefficients for Cr(Ⅲ) and Cr(Ⅵ) were greater than 0.999 within the concentration range of 1-500 μg/L. The limits of detection were 0.000 024 mg/m3 and 0.000 034 mg/m3,respectively(based on a sampling volume of 45 L),and the quantification limit was 0.000 44 mg/m3. The recovery rate ranged from 87.7% to 105%,with relative standard deviations all below 5%. Conclusion This method is accurate,sensitive,and has a wide detection range,it is suitable for the simultaneous determination of Cr(Ⅲ) and Cr(Ⅵ) in workplace air,providing a reference for the advancement of occupational safety testing.
    Protective effect of ginsenosides on renal injury caused by cadmium exposure via SIRT1-FoxO1 signaling pathway
    YAO Jun, LIU Jing
    2025, 41(16):  2187-2194. 
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    Objective To explore the protective effect of ginsenosides against renal injury induced by cadmium exposure via the Silent Information Regulator 1(Sirt1)-forkhead box protein O1(FoxO1) signaling pathway. Methods Totally 40 rats were randomly divided into control group,cadmium exposure group,low-dose ginsenoside group and high-dose ginsenoside group according to body weight. Except for the control group,the other groups were exposed to cadmium dichloride(25 mg/kg) by continuous gavage to establish renal injury model. During the cadmium dichloride exposure period,rats in low-dose and high-dose ginsenoside groups (1 000 and 2 000 mg/kg) were given corresponding doses of ginsenosides by gavage every day,and the control group and cadmium exposure group were given equal volumes of normal saline by gavage. After the experiment,the 24-hour urine protein,serum urea nitrogen(BUN),serum creatinine(Scr),renal superoxide dismutase(SOD),glutathione peroxidase(GSH-Px),tumor necrosis factor-α(TNF-α),and renal cell apoptosis rate were measured. The renal cytochrome C(Cyt-c),cysteinyl aspartate specific proteinase-9(caspase-9),cysteinyl aspartate specific proteinase-3(caspase-3) levels were determined by enzyme-linked immunosorbent assay. The renal SIRT1,FOXO1,and nuclear factor kappa B(NF-κB) mRNA and protein levels were determined by RT-PCR and immunohistochemistry. Results The indexes of rats in the cadmium exposure group and the control group were as follows:24 h urine protein(14.74±2.54) vs (96.83±6.50)mg/24 h,serum BUN(9.49±2.04) vs (37.37±3.35) mmol/L,SCR level(6.39±0.67) vs (27.48±1.98)μmol/L,renal TNF-α level(12.59±2.11) vs (169.50±14.20)μg/L,renal cell apoptosis rate(3.24±0.53) vs (49.87±4.65)%,renal Cyt-c(56.87±5.66) vs (359.21±21.01)μmol/L,Caspase-9(18.30±3.22) vs (145.74±17.59)μmol/L,Caspase-3 protein (29.54±4.25) vs (214.06±30.02)mol/L,FOXO1 mRNA and protein level (0.99±0.13) vs (5.32±0.34),(0.89±0.43) vs ( 6.26±0.85) points,NF-κB mRNA and protein level(1.05±0.12) vs (4.23±0.39),(1.36±0.55) vs (5.74±0.47)points,which in the cadmium exposure group were higher than those in the control group. The renal SOD was (266.98±25.54) vs (63.87±19.40)μmol/L,GSH-Px was (489.59±48.37) vs (128.80±20.87)μmol/L,SIRT1 mRNA and protein level was (4.32±0.43) vs (0.95±0.11),(5.77±0.53) vs(0.85±0.18)points,which in the cadmium exposure group were higher than those in the control group. All differences were statistically significant(all P<0.05). The 24 h urine protein,serum BUN and SCR levels,renal TNF-α level,renal cell apoptosis rate,renal Cyt-c,Caspase-9,Caspase-3 protein,FOXO1 and NF-κB mRNA and protein levels of rats in the low- and high-dose ginsenoside groups were lower than those in the cadmium exposure group,while the renal SOD,GSH-Px and SIRT1 mRNA and protein levels were higher than those in the cadmium exposure group,and the difference was statistically significant(all P<0.05). The 24-hour urine protein,serum BUN and SCR levels,renal TNF-α level,renal cell apoptosis rate,renal Cyt-c,Caspase-9,Caspase-3 protein,FOXO1,and NF-κB mRNA and protein levels in the high-dose ginsenoside group were lower than those in the low-dose ginsenoside group,and the renal SOD,GSH-Px,and SIRT1 mRNA and protein levels were higher than those in the low-dose ginsenoside group,and the differences were statistically significant(all P<0.05). Conclusion The ginsenosides can inhibit oxidative stress,inflammation,and apoptosis,and have a significant protective effect on renal damage in rats exposed to cadmium,its mechanism is related to ginsenosides promoting SIRT1 expression and then inhibiting the activation of FOXO1-NF-κB pathway.
    Rapid detection of cyanide in urine using continuous flow injection method
    WENG Yueyang, LI Changan, ZHANG Kecai
    2025, 41(16):  2195-2198. 
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    Objective To establish a rapid and efficient method for the detection of cyanide in urine with continuous flow inject analysis by diluting alkaline hydrolysis with sodium hydroxide solution,analyze the effects of dilution ratio,sodium hydroxide solution concentration,and alkaline hydrolysis method on the determination of cyanide in urine. Methods After refrigerated centrifugation,the urine samples were diluted with a suitable concentration of sodium hydroxide solution to an appropriate multiple,and a continuous flow injection analyzer was use to determine the cyanide content in the urine sample. Results This research showed a good line relationship for detecting cyanide in the concentration range of 0-0.200 mg/L,with a linear correlation coefficient of 0.999 6. The detection limit of the method was 0.005 4 mg/L. The spiked recovery experiment on urine samples at three different concentrations(low,medium,and high) were conducted,and the results showed that the recoveries ranged from 84.0% to 92.0%. The relative standard deviations of this method were 2.341% to 6.206%. Conclusion The continuous flow injection method for the detection of cyanide in urine has high sensitivity and good stability without complex pretreatment and derivation processes,and the whole process of online distillation is safe,which can be used for routine detection of cyanide in urine.
    Analysis and evaluation of the contamination status of important pathogenic bacteria in food in Xindu District,Chengdu City from 2019 to 2023
    ZHAI Pei, WANG Min, DONG Ting, ZHANG Pan
    2025, 41(16):  2199-2204. 
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    Objective To understand the contamination status of important pathogenic bacteria in food in Xindu District,Chengdu City,and take the initiative to find out the potential safety hazards in food in Xindu District,so as to provide scientific basis for the subsequent safety risk assessment,standardization,supervision and management. Methods Based on the requirements of the 2019-2023 "Chengdu Food Safety Risk Monitoring Program" and the "National Risk Monitoring Workbook for Food Pollution and Harmful Factors",the main consumption places of residents including large supermarkets,farmers' markets,collective canteens,restaurants,mobile vendors and other links in Xindu District,Chengdu City for sampling and testing were selected,the test results using Excel 2021 to establish a database,SPSS 22.0 for its statistical analysis. Results From 2019 to 2023,971 food samples were tested for foodborne pathogens,and 204 food products were detected with pathogenic bacteria,the overall sample positivity rate of 21.01%.The highest positive detection rate of pathogenic bacteria was 26.85% in 2022,and the lowest was 13.43% in 2021. There was a statistically significant difference in the detection rate of pathogenic bacteria between different years(χ2=20.81,P<0.01). The top 5 positive detection rates of foodborne pathogens in different types of food products were raw animal meat(46.80%),animal-based aquatic products(45.92%),cereal(25.00%),barbecue(18.18%),kimchi(16.67%),the difference in the positive rate of pathogenic bacteria in different types of food was statistically significant(χ2=126.55,P<0.01). The positive rate of detection of various types of foodborne pathogens in descending order wereVibrio parahaemolyticus(37.65%),Staphylococcus aureus(15.99%),Cronobacter(12.50%),Cronobacter(12.50%),Bacillus cereus(9.09%),Salmonella spp(2.00%),Listeria monocytogenes(1.58%),of which Salmonella serotypes were dominated by Salmonella typhimurium,accounting for 73.68% of the total. The food products that were detected to be carrying pathogens were mainly from the farmers' markets,supermarkets,and bulk food in small restaurants. Conclusion The level of pathogenic bacterial contamination in food in Xindu District,Chengdu is at a relatively low level,but different degrees of foodborne pathogenic bacterial contamination are still found in a range of food products such as cooked meat products,raw animal meat,animal aquatic products,and kimchi,etc.,and there is a need to strengthen the supervision and monitoring efforts in order to create a healthier food safety ecosystem.
    Correlation analysis of resilience,organizational commitment and turnover intention of cardiology nurses in Harbin City
    JIA Shanshan, WANG Mingshu, YOU Shuang, ZHOU Meijun, LI Dan
    2025, 41(16):  2205-2210. 
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    Objective To understand the current situation of turnover intention among cardiology nurses in Harbin City and analyze its influencing factors,in order to provide reference for reducing the turnover rate of cardiology nurses. Methods From April to July 2024,cardiology nurses in four tertiary hospitals in Harbin City were surveyed by convenience sampling using a general information questionnaire,a healthcare worker resilience scale,an organizational commitment scale,and a turnover intention scale,and the data were analyzed.Results The resilience score of cardiology nurses in Harbin City was (68.73±6.42)points,the organizational commitment score was (73.20±6.44)points,and the turnover intention score was (14.36±4.06)points. Age,marital status,job title,monthly income,resilience,and organizational commitment were the influencing factors of the turnover intention among cardiology nurses,which together explained 66.1% of the total variance. Conclusion The turnover intention among cardiology nurses in Harbin is relatively high,and the resilience and organizational commitment is at a moderate to high level. Nursing managers should reduce the level of turnover intentionof cardiology nurses by enhancing their resilience and organizational commitment.
    Empirical study on the job competency model of Dai medical talents
    JIANG Xiaoli, YIN Zili, YANG Liping, DUAN Xiaohua
    2025, 41(16):  2211-2217. 
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    Objective To analyze the current situation of the cultivation of Dai medical talents' job competency and professional ability,and to empirically analyze the construction of Dai medical talents' job competency model. Methods From January 2023 to May 2024,based on the Dai medicine job competency model,a questionnaire survey was conducted on the job competency level and employment status of Dai medicine graduates who are now working in Dai hospitals or other hospitals,and the results of the survey were analyzed to calculate its credibility and validity,and exploratory factor analysis and validation factor analysis were carried out. Results Totally 100 self-assessment forms of Dai medical talents' job competency evaluation index system were recovered,99 questionnaires were valid,with a recovery validity rate of 99%,the overall Cronbach's α coefficient value was 0.981,the Kaiser-Meyer-Olkin(KMO) test value was 0.907,and the Bartlett's spherical test was χ2=55 556.031,P<0.01(df=1 128). The six common factors were screened out by exploratory factor analysis,with eigenvalues of 9.949,9.775,8.762,3.713,2.227,2.069,variance contributions of 20.728%,20.364%,18.254%,7.734%,4.639%,4.310%,respectively,and cumulative variance contributionsof 20.728%,41.092%,59.345%,67.080%,71.719%,76.029%,respectively. The critical ratio(CR) between each indicator was greater than 2.580,SE<0.117,P<0.01 between each parameters,χ2/df of 2.043,root-mean-square error of approximation(RMSEA) was 0.097,comparative fit index(CFI) was 0.801,incremental fit index(IFI) was 0.803,tucker-lewis index(TLI) was 0.789.The professional ethics and literacy score in the job competency of Dai medical talents was(1.400±0.189)points,Dai medical knowledge score was (0.764±0.121)points,clinical medical knowledge score was (0.246±0.046)points,clinical skills score was(0.975±0.157)points,public health service score was (0.414±0.068)points,scientific research ability score was (0.207±0.042)points,and the overall score was (4.006±0.544)points. Conclusion The index system constructed in the previous period has good reliability and validity,and the job competence of Dai medical talents is better. This study provides a reference for the job competence of Dai medical talents,and hopes tocontinuously improve it in future practical work.
    Mediating role of job satisfaction of aerospace system medical workers in the relationship between organizational commitment and turnover intention
    WANG Wenbo, QIN Yanan, JI Hongmei
    2025, 41(16):  2218-2223. 
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    Objective To understand the situation of the current job stability of aerospace system medical workers,explore the relationship between job satisfaction in organizational commitment and willingness to leave,and provide a theoretical basis for improving the working environment of aerospace system medical workers in the future to improve the stability of the aerospace system medical workforce. Methods From January to March 2024,a cluster sampling method was used to investigate aerospace system medical workers in Beijing,and the organizational commitment scale,job satisfaction scale and willingness to leave scale were used as the research tool to qualitatively and quantitatively describe the organizational commitment,job satisfaction and willingness to leave of the survey object,and the influencing factors of the willingness to leave were analyzed using multiple linear regression model,and the mediating role was examined by the bootstrap method. Results The total scores of organizational commitment,job satisfaction,and willingness to leave were (91.43±15.82),(60.38±21.84) and (10.49±4.70)points,respectively.Ideal commitment and job satisfaction were statistically significant predictors of willingness to leave among healthcare workers in the aerospace system(both P<0.01).The mediating effects of job satisfaction between affective and normative commitment and willingness to leave were -0.069(95%CI:-0.084--0.056) and -0.082(95%CI:-0.095--0.072),which accounted for 54.76%and 65.60%of the total effect,respectively. Conclusion Affective commitment and norms of healthcare workers in aerospace systems have a negative effect on turnover intentions,and job satisfaction partially mediates the relationship between ideal commitment and turnover intentions.Healthcare system managers can improve the satisfaction of healthcare workers in the aerospace system in terms of affective and normative aspects such as training and competition,work pressure,and satisfaction and sense of belonging to their affiliation for different characteristics such as marital status and education level to reduce brain drain.
    Epidemiological characteristics analysis of falls/fall injuries among the elderly in Jiangsu Province from 2006 to 2022
    LIU Fudong, WU Lingling, LIU Ronghai, ZHOU Jinyi, DU Wencong
    2025, 41(16):  2224-2228. 
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    Objective To understand the epidemiological characteristics of falls/fall injuries among the elderly in Jiangsu Province from 2006 to 2022,and to provide reference for the prevention of falls among the elderly. Methods The elderly patients aged 60 years and above who were hospitalized for the first time in Sentinel Surveillance Hospital from 2006 to 2022 were collected. χ2 test was performed with SPSS 26.0 software.Post hoc testing was used to compare pairwise between groups,and the differences between groups were determined based on the adjusted standardized residuals(AR). The circular distribution method was used to analyze the time distribution characteristics. Results From 2006 to 2022,there were 87 162 cases of falls/fall injuries among the elderly in Jiangsu province,and the ratio of male to female was 0.69∶1.The onset time of fall/fall injury in the elderly was seasonal,and the peak time was from May 8 to February 22 of the following year.From 2006 to 2022,the constituent ratio of fall/fall injury in elderly men in Jiangsu Province showed a decreasing trend,while that in females showed an increasing trend(both P<0.01). In different age groups,the constituent ratio of fall/fall injury in 60-<70 years old group,70-<80 years old group and ≥90 years old group was increasing(all P<0.01),while in the group of 80-<90 years old,there was a decreasing trend(P<0.01). In different educational level,the constituent ratio of fall/fall injury in the elderly with primary school education and above,as well as those with junior high school education,showed an increasing trend(both P<0.01). In different occupational classifications,the constituent ratio of fall/fall injury in the elderly of farmers,workers and household workers showed a decreasing trend(all P<0.01),the constituent ratio of professional and technical personnel,retired personnel and other personnel showed an upward trend(all P<0.01).From 2006 to 2022,the main location of falls/fall injuries among elderly people in Jiangsu Province was at home (65.04%),and the activities during the occurrence were mainly leisure activities(48.99%). Conclusion The majority of falls/fall injuries among the elderly in Jiangsu Province from 2006 to 2022 were female,with the age group of onset being mainly in 60-<70 years old,andthe falls/fall injuries occurring at home should be taken as the emphasis of prevention and control,it is suggested that corresponding intervention measures should be made for the high-risk population to reduce the incidence of falls/fall injuries in the elderly.
    Analysis of the current situation and influencing factors of metabolic syndrome and common chronic diseases among workers in power grid enterprises
    LIU Chao, WANG Yanan, LIU Yuzhong, XU Leyi, CHEN Jiabin, WEN Cuiju
    2025, 41(16):  2229-2234. 
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    Objective To analyze the prevalence and influencing factors of metabolic syndrome(MS) and common chronic diseases among the workers of the power grid enterprise,so as to provide a scientific basis for the health management of the workers inpower grid enterprise. Methods Purposive sampling method was used to select 881 research subjects from power grid enterprises in 2023. The chi-square test were applied to analyze the variation in MS and common chronic diseases detection rates of power grid workers in different genders and ages,and the influencing factors were analyzed by binary logistic regression equation. Results The prevalence of chronic diseases among 881 power grid workers was 75.48%(665/881),and the prevalence of chronic disease co-morbidities was 42.45%(374/881). Among them,the prevalence of MS was 18.16%,and the prevalence of hyperuricemia was the highest(47.45%). The detection rates of MS,overweight,obesity,and hyperuricemia in male workers of this enterprise were higher than those in females(all P<0.05).The differences in the distribution of MS,overweight,hypertension,and hyperuricemia in different age groups were statistically significant(all P<0.05). Age≥40 years(OR=2.479,95%CI:1.589-3.867),BMI of overweight(OR=7.126,95%CI:4.229-12.006) and obesity(OR=37.046,95%CI:19.569-70.132) were all risk factors for MS(all P<0.05). Conclusion The prevalence of chronic diseases among workers in power grid enterprise is high.Attention should be paid to the health status of middle-aged(≥40 years old),overweight,and obese workers,and further strengthen the health management of workers to improve their health literacy. The combination of daily health monitoring and personal behavioral intervention is adopted to reduce the risk of disease.
    Current status and influencing factors of infectious disease prevention and control literacy among urban and rural residents in Anhui Province in 2022
    FU Yuansheng, XU De, XIE Jianrong, WANG Zhimin, XIA Yuanrui, FAN Yinguang
    2025, 41(16):  2235-2239. 
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    Objective To understand the level of infectious disease prevention and control literacy among urban and rural residents in Anhui Province in 2022,explore related influencing factors,and provide evidence for enhancing residents' ability to prevent and control infectious diseases. Methods From June to September 2022,a stratified,multi-stage,simple random sampling method combined with probability proportionate to size sampling(PPS) was used to conduct a questionnaire survey among permanent urban and rural residents aged 15-69 years old in 38 monitoring sites in Anhui Province. Results A total of 16 080 people were surveyed,including 7 648(47.56%) in urban areas and 8 432(52.44%) in rural areas. After weighted adjustment,the level of infectious disease prevention and control literacy among residents in Anhui Province in 2022 was 22.33%. The multivariate logistic regression analysis showed that education level,age,occupation,and smoking were the influencing factors of infectious disease prevention and control literacy among urban and rural residents in Anhui Province. Compared with the illiterate/less literate,the OR values of primary school,junior high school,senior high school/vocational high school/technical secondary school,college/bachelor degree and above were 2.182(95%CI:1.678-2.839),4.167(95%CI:3.247-5.348),6.201(95%CI:4.759-8.081) and 9.535(95%CI:7.286-12.480),respectively. Compared with the 65-69 year-old age group,the OR values of 15-<25,25-<35,35-<45,45-<55 and 55-<65 year-old age group were 2.470(95%CI:1.889-3.230),2.315(95%CI:1.796-2.984),2.275(95%CI:1.767-2.929),2.010(95%CI:1.567-2.577) and 1.529(95%CI:1.182-1.977),respectively. Compared with smoking,the OR value of non-smoking was 1.199(95%CI:1.083-1.327). Compared with farmers,the OR values of civil servants/personnel of public institutions and other were 1.184(95%CI:1.026-1.368) and 1.212(95%CI:1.062-1.384),respectively. Conclusion The level of infectious disease prevention and control literacy among urban and rural residents in Anhui Province is relatively low,and factors such as educational level,age,and occupation are important influencing factors of infectious disease prevention and control literacy.
    Analysis on epidemic trend of notifiable infectious diseases in Nantong City from 2004 to 2023
    MIAO Junfeng, ZHANG Wuhong, ZHOU Jie, ZHAO Enhui, WEI Ye
    2025, 41(16):  2240-2244. 
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    Objective To analyze the epidemiological characteristics and changing trends of notifiable infectious diseases in Nantong City,provide effective evidence for formulating prevention and control measures. Methods The data on notifiable infectious diseases in Nantong City from 2014 to 2023 were collected and analyzed using descriptive statistical software. The Joinpoint regression model was employed to analyze the trend of change. Results From 2014 to 2023,a total of 267 216 cases of Class A,B,C of notifiable infectious diseases were reported in Nantong City,with an average annual crude incidence rate of 359.61/100 000. There were a total of 453 reported deaths,with a mortality rate of 0.61/100 000. The top five reported infectious diseases by incidence were hand,foot and mouth disease(75 375 cases),influenza(46 051 cases),syphilis(31 644 cases),tuberculosis(23 502 cases) and hepatitis B (13 482 cases). The incidence rate of notifiable infectious diseases in Nantong City showed a downward trend from 2014 to 2021(APC=-7.663,t=-1.548,P>0.05),and a rapid upward trend from 2021 to 2023(APC=137.281,t=2.743,P<0.05). The average annual incidence rate of men was generally higher than that of women(P<0.05). The average incidence rate of all age groups showed a "high rise and fast fall with a long tail",and the average incidence rate of 0-<3 years old age group showed a rapid increase(APC=31.609,t=1.568,P>0.05),3-<10 years old age group showed a rapid decrease(APC=-29.896,t=-5.485,P<0.05),10-<45 years old age group showed a low and slow downward trend(APC=-2.8108,t=-2.149,P<0.05),and 45-≥85 years old age group showed a low and slow increase trend(APC=2.952,t=3.854,P<0.05). The seasonal index exhibited a bimodal distribution,with peaks in summer and winter and lows in spring and autumn,with a peak of 1.40 in June. Conclusion In recent years,the infectious diseases in Nantong City has a rising trend,and it is necessary to carry out key prevention and control measures on infectious diseases with high incidence rate,such as hand-foot-and-mouth disease and tuberculosis,as well as infectious diseases with rapid growth,such as influenza and syphilis,strengthen the vaccination of children <10 years old,enhance publicity and education,rectify the rural environment,and improve the epidemic prevention and control work.
    Prevalence trend and estimated excess cases of hand,foot and mouth disease in Jiulongpo District of Chongqing from 2010 to 2023
    ZHOU Huixian, DENG Chunyan, LI Runbing, LONG Qianjin
    2025, 41(16):  2245-2249. 
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    Objective By analyzing the trend of hand,foot and mouth disease(HFMD) incidence in Jiulongpo District of Chongqing,to estimate epidemic period and excess incidence,and provide data support and decision-making basis for the prevention and control of HFMD. Methods The monthly cases of HFMD in Jiulongpo District of Chongqing were derived from the "China Information System for Disease Control and Prevention" from 2010 to 2023,the descriptive epidemiological methods were used to analyze the epidemiological characteristics of the disease,and the adjusted Serfling regression model was used to determine the epidemiological period and estimate the number of excess cases. Results From 2010 to 2023,a total of 45 745 cases of HFMD were reported in Jiulongpo District of Chongqing,with an average annual incidence rate of 272.10/100 000. The male-to-female sex ratio was 1.40∶1; the age of onset of the disease was mainly concentrated in the age group of 0-5 years old,with the highest incidence rate in the age group of 1-2 years old(annual average reported incidence rate of 9 797.73/100 000). The population of the disease was mainly scattered children and preschool children. The area of onset of the disease was concentrated in the urban area. The coefficient of determination of the fit-adjusted Serfling regression model was 0.635,and the total number of HFMD epidemics from 2010 to 2023 was 89 months,with a cumulative excess of 21 310 cases,and the epidemics were mainly concentrated in the spring and summer(March to June) and the autumn and winter(September to January of the following year). Conclusion Jiulongpo District in Chongqing should be the key prevention and control area of HFMD,and the relevant departments should further improve the diagnostic capacity,expand vaccination and targeted preventive measures,as well as combining the seasonal high incidence and the characteristics of the disease spectrum,so as to control the spread and prevalence of HFMD.
    Quantitative evaluation of mental health policies based on PMC index modeling
    ZHANG Xinyu, MA Guofang
    2025, 41(16):  2250-2255. 
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    Objective To quantitatively evaluate mental health policies in China and provide reference for policy formulation and optimization. Methods Totally 35 policies related to mental health enacted at the national level before April 2024 were searched. The ROSTCM6 was used to draw a knowledge network graph,conduct in-depth exploration of policy texts,and establish a quantitative evaluation index system for mental health policies. The system included nine first-level indicators and 32 second-level indexes,which was used for quantitative analysis of 10 randomly selected policies. Results The mean value of the PMC index of the 10 policies was 6.99,all of which belonged to the excellent and acceptable level,and there were no perfect and poor policies. Conclusion The overall design of mental health policies is basically perfect,but it needs to be improved in terms of policy nature,policy evaluation,policy timeliness,and policy operability.
    Analysis of stroke burden attributed to dietary factors and its changing trend in the elderly population of China
    MU Taotao, SONG Shina, LI Xiaofeng
    2025, 41(16):  2256-2262. 
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    Objective To analyze the burden of stroke attributable to dietary factors in the elderly population(age≥60) in China from 1990 to 2021 and the trends over time,providing a reference for stroke prevention and control. Methods Data on the burden of stroke attributable to dietary factors in the elderly population(≥ 60 years old) were extracted from the Global Burden of Disease (GBD) 2021 database. The disease burden was described using the number of deaths,age-standardized mortality rate(ASMR),disability-adjusted life years(DALYs),age-standardized DALY rate,and population attributable fraction(PAF). The trend of change in the disease burden attributable to dietary factors was analyzed using the percentage change and estimated annual percentage change(EAPC). A Bayesian Age-Period-Cohort(BAPC) model was used to predict the trend from 2022 to 2035. Results From 1990 to 2021,the number of deaths and DALYs attributable to dietary factors in the elderly population of China showed an overall increasing trend,but both the ASMR and age-standardized DALY rate showed a decreasing trend. The ASMR decreased from 311.49 per 100 000 in 1990 to 149.45 per 100 000 in 2021,with a change rate of -52.02% and an EAPC of -2.50%(P<0.01). The age-standardized DALY rate decreased from 5 821.82 per 100 000 in 1990 to 2 824.21 per 100 000 in 2021,with a change rate of -51.49% and an EAPC of -2.47%(P<0.01). Gender analysis revealed that male ASMREAPC:-2.02%,P< 0.01) and age-standardized DALY rate(EAPC:-2.05%,P<0.01) were higher than females,while the decline in ASMREAPC:-3.26%,P<0.01) and age-standardized DALY rate(EAPC:-3.17%,P<0.01) was more significant in females. Age group analysis showed an increasing trend in the burden of stroke attributable to dietary factors with age from 1990 to 2021. The ASMR and age-standardized DALY rate in the 90-94 age group were the highest,with change rates of -43.55% and -42.26%,respectively,and EAPC values of -1.94%(P<0.01) and -1.87%(P<0.01) in 2021 compared to 1990. The 60-64 age group had the most significant decrease in ASMR and age-standardized DALY rate,with a decrease of 60.13% and 57.11%,respectively,and EAPC values of -3.06%(P<0.01) and -2.82%(P<0.01). PAF analysis of dietary factors showed that excessive sodium intake and insufficient fruit intake remained the top two factors contributing to stroke,while the consumption of processed red meat and sugary drinks showed an increasing trend. Based on the BAPC model,the ASMR attributable to dietary factors in the elderly population of China was expected to decrease to 97.29 per 100 000,and the age-standardized DALY rate was expected to decrease to 1 883.17 per 100 000 by 2035. Conclusion From 1990 to 2021,the burden of stroke attributable to dietary factors among the elderly population in China has decreased,but the overall disease burden remains significant. Excessive sodium intake and insufficient fruit consumption have consistently been the primary risk factors,while the consumption trends of processed red meat and sugar-sweetened beverages warrants attention. Future prevention and control strategies should focus on interventions for high-risk dietary factors,particularly among men and high-risk groups,to further reduce the stroke burden.
    Investigation on knowledge,attitudes and practices of drinking water among residents of Tianjin
    ZHANG Kexin, ZHAO Liang, HU Haijuan, ZHANG Lei
    2025, 41(16):  2263-2268. 
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    Objective To understand the knowledge,attitudes and behaviors related to drinking water and the needs of Tianjin residents,and provide scientific basis for formulating more effective drinking water health education strategy. Methods The convenience sampling method was used to recruit permanent residents aged ≥6 years old in Tianjin to participate the online questionnaire survey,and the data were analyzed. Results A total of 36 790 questionnaires were collected,31 450 valid questionnaires were obtained and the effective rate reached 85.49%. The overall awareness rate of knowledge related to drinking water was 83.31%. The awareness rates of the purpose of drinking water disinfection,the correct way of drinking water,the harm of drinking unclean water,the sugary drinks were no substitute for water and the harm of insufficient drinking water were 85.01%,65.76%,77.87%,97.77% and 90.12%,respectively. 67.17%,60.21 and 89.28% of respondents agreed that ladder water price was helpful to improve residents' water-saving consciousness,poor water-saving concept and concern about drinking water knowledge,respectively. 94.36% of respondents took plain boiled water as main water source. 41.45% of respondents had average weekly consumption of sugar-sweetened beverages less than 500 mL. 84.67% of the respondents who used water purification equipment used it correctly according to the instructions. 72.87% of the respondents acquired knowledge about drinking water via television public service advertisement. Conclusion The drinking water health knowledge of Tianjin residents is insufficient and there are incorrect drinking water health behaviors. In order to guide the residents to drink water scientifically and healthily,it is necessary to strengthen the propaganda and education of drinking water health and develop targeted educational strategies.
    Mediating effect of self-efficacy between family cohesion and career expectations of higher vocational nursing students
    WANG Can, CHEN Yan, LIU Shang, LONG Ziqiong, CHEN Xingyue
    2025, 41(16):  2269-2275. 
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    Objective To investigate the current status of career expectations among nursing students in vocational colleges during their internship,explore the relationship between family cohesion and career expectations,and the mediating role of self-efficacy between the two. Methods Using a convenient sampling method,459 nursing interns from four vocational colleges in Hunan Province were selected as survey participants from April to May 2024. The survey was conducted using a general information questionnaire,the family cohesion and adaptability scale,the general self-efficacy scale,and the career expectations scale. Data analysis was performed using SPSS 27.0 software. Results The self-efficacy score of nursing interns in vocational colleges was (27.983±4.431)points,the family cohesion score was (115.231±21.097)points,and the career expectations score was (70.209±13.756)points. Pearson correlation analysis showed that family cohesion was positively correlated with self-efficacy and career expectations among nursing interns in vocational colleges(r=0.438,0.354,both P<0.05),self-efficacy was positively correlated with career expectations(r=0.327,P<0.05). Self-efficacy played a partial mediating role between family cohesion and career expectations,accounting for 22.968% of the total effect. Conclusion The career expectations of nursing interns in vocational colleges are at a moderate level,which urgently needs improvement. As the fundamental environment for individual growth and development,the family has a profound and subtle impact on the career expectations of nursing interns in vocational colleges,which cannot be ignored. Families should provide more care and support to nursing students,enhance their self-efficacy,and promote personal career development,thereby stabilizing the nursing team.
    Analysis of caries disease among primary and secondary school students aged 6-17 years old in Cangzhou City
    DAI Qibin, LU Wei, ZHAO Xiaona
    2025, 41(16):  2276-2279. 
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    Objective To understand the current situation of caries among primary and secondary school students in Cangzhou City,provide a basis for scientific evaluation and targeted intervention. Methods From September to October 2023,a total of 29 067 students from 83 primary and secondary schools in 16 counties and districts of Cangzhou City were selected by stratified random cluster sampling method for physical examination,and the data were analyzed. Results The overall prevalence rate of caries among primary and secondary school students aged 6-17 years old in Cangzhou City was 38.28%. The prevalence rate of caries in male students(36.43%) was lower than that in and female students(40.38%). The rates of caries of different genders were higher in urban areas than in suburban counties(all P<0.05),and the differences were statistically significant. The prevalence rate of deciduous teeth was 30.71%,and the average caries was 1.01. The prevalence of permanent tooth caries was 19.60%,and the average caries was 0.45. The prevalence rate of caries and the caries loss rate of deciduous teeth and permanent teeth in different sex showed different characteristics with age. The caries prevalence rates of 7 year-old girls and 9,12 and 14 year-old boys and girls were lower than that of the whole country(all P<0.05). The average caries of deciduous teeth in 7,9 and 12 year-old students and average caries of permanent teeth in 7,9,12 and 14 year-old students were lower than that of the whole country. Conclusion The prevalence rate of caries among primary and secondary school students aged 6-17 years old in Cangzhou City is not optimistic,so the prevention and control of caries among primary and secondary school students should be strengthened to effectively reduce caries prevalence.
    Latent profile and influencing factors analysis of self-compassion among nursing undergraduates in Guangdong Province
    ZHONG Yingying, XIAO Kangjiao, WANG Rui, ZHOU Jiahui, TANG Li, LAN Yutao
    2025, 41(16):  2280-2287. 
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    Objective To explore the current situation and latent profiles of self-compassion among nursing undergraduates in Guangdong Province,and analyze the influencing factors of different profile categories. Methods A total of 725 nursing undergraduates from six colleges in Guangdong Province were selected for the survey from June to September 2022 by convenience sampling method. The general information questionnaire,the self-compassion scale,admission and action questionnaire(second edition),Connor-Davidson resilience scale,social support rating scale were used to conduct the survey,and the data were analyzed. Results The total self-compassion score of 725 nursing undergraduates in Guangdong Province was(40.41±6.07)points,the total experiential avoidance score was (23.38±7.72)points,the total psychological resilience score was(83.81±16.16)points,the total social support score was(35.56±6.28)points.Nursing undergraduates' self-compassion could be categorized into three latent profiles:good self-control group(37.93%),self-blame tendency group(31.45%),and positive adaptation group(30.62%). Grade,per capita monthly family income,experiential avoidance,psychological resilience,and social support were all influencing factors of the self-compassion profile category for nursing undergraduates(all P<0.05). Conclusion The level of 725 nursing undergraduates' self-compassion in Guangdong Province is upper medium with heterogeneity.Nursing educators and managers should focus on self-blame tendency group nursing students and develop targeted interventions and supports based on the influencing factors of different latent profile in order to improve nursing students' self-compassion.
    Visualization analysis of research hotspots and trends about health literacy in chronic disease patients based on CiteSpace
    LI Jiayao, CUI Yi, NI Chunping, LIN Yue, HUA Yan
    2025, 41(16):  2288-2293. 
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    Objective To analyze the current situation,hotspots,and trends of research on health literacy of patients with chronic diseases domestically and internationally,and to provide ideas and references for improving the health of patients in China.Methods The keywords "chronic disease","chronic illness","chronic non-communicable disease",and "health literacy" were searched in the database of China National Knowledge Infrastructure(CNKI) and Web of Science core collection from January 1 2007 to May 1 2024. CiteSpace 6.2.R7 software was used to create the maps,and visual analysis were conducted regarding the trend of publication,authors,institutions,journals,and keywords. Results A total of 673 articles were included,including 259 Chinese articles and 414 English articles,with the number of publications increasing year by year.The main focus of research in China was on the health literacy of individuals with diabetes,cardiovascular disease,and cerebrovascular diseases,while research in overseas nations was more likely to focus on patients with chronic kidney disease and chronic obstructive pulmonary disease.Cross-sectional studies were the major for both domestic and international research. Correlation studies,mediating effects,influencing factors,and scale compilation concerning self-efficacy and self-management were the main research contentsat home and abroad.In addition,foreign scholars included more likely to favor systematic evaluation of this field. Conclusion Academics domestically and internationally have focused a great deal of attention on research on the health literacy of patients with chronic diseases.Domestic academics should unfold hybrid studies in the future and implement precision nursing based on disease characteristics. Mental health literacy,health literacy among younger and middle-aged patients,and intelligent platform-based care are the development trends for future research.
    Overview
    Progress in research on effect of nutrients,dietary patterns and eating behaviors on adolescent depression
    WANG Mengqi, LIANG Moxuan, LIU Can, CHENG Jingmin
    2025, 41(16):  2294-2299. 
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    The adolescent depression has long been in the spotlight as a serious mental health problem. In recent years,researchers have begun to explore the effects of diet on adolescent depression. This paper systematically examines the relationship between nutrients,dietary patterns and dietary behaviors and depression in adolescents through a retrospective analysis of previous national and international literature. It was found that diet plays an important role in the onset and development of adolescent depression,such that timely supplementation of certain key nutrients can better regulate depressive mood,while unbalanced dietary patterns and poor dietary behaviors may increase adolescents' risk of developing depression,all of which point to the immense potential value of preventing and intervening in adolescent depression at the dietary level. This study not only provides new perspectives for understanding the aetiology of adolescent depression,but also provides theoretical support and practical guidance for developing targeted dietary interventions to prevent and ameliorate adolescent depression.
    Research progress on professional calling for nurses in China
    DONG Xiaoyan, LI Long, WANG Yafang, ZHANG Na, WANG Jingjing
    2025, 41(16):  2300-2304. 
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    The professional calling is a strong and meaningful passion and power that an individual feels towards a certain profession,which is an altruistic organizational citizenship behavior and a positive personal psychological resource. High-level professional calling can enhance nurses' professional identity,job engagement,and job satisfaction,reduce their job burnout and turnover intention,and is of great significance in promoting the improvement of nursing quality and the stability of the nursing team. This article provides an overview of the origin and development of professional calling,evaluation tools,the current status,influencing factors,and outcomes of nurse professional calling in China,as well as intervention strategies for improving nurse professional calling. The aim is to provide reference and guidance for hospital nursing managers and educators to conduct relevant research and develop effective strategies to enhance the level of nurse professional calling.